Surgical Procedures in 2008-09 In-patient 81 Out-patients 983 Consultation 1191 Frequent Cases: Appendectomy Baron ligature Colonoscopy C-section Cyctoscopy Dental procedures Dilatation &Curettage Excision cystic lesion Fistulectomy Gastroscopy Hand surgery: (Carpal Tunnel, tendon repair) Hemorhoidectomy Hernia repair Hydrocele repair Hydrocelectomy I&D abcess Laparoscopic cholecystectomy Lumpectomy Lymph node biopsy Marsupialization pilonidal sinus Repair of lacerations T&A The physical environment (main floor) • Two operating theatre • Recovery Room • Day Care surgery • Physician lounge • Consultation clinic (2nd floor) - Note: no fees for clinic usage The team • Surgery services ensured by a team of 5-6 locums • Anaesthesia services provided by two local general practioner(GP) • Team of experienced operating room nursing staff with qualitifed nurses • Hospital associated services: RT, PT, Lab, Radiology • PACS, OTN videoconferencing, CritiCall services • Collaboration and support from Timmins District Hospital (275km) and Kapuskasing Sensenbrenner Hospital (100km). MRI and CT scan located in Timmins. | Required experience • General surgery in a rural setting • C-section • Laparoscopic surgery is an asset Common Cases: Biopsy Circumcision Excision of lipomas Hysterectomy Laparoscopy Lap appendectomy Tubal ligation On Occasion Cases: Amputation Bowel resection Hysterectomy Laparatomy Marshall Marchetti Mastectomy Open Cholecystectomy TUR
The equipment • Laparoscope • Cystoscope rigid and flexible • Gastroscope • Colonoscope • Hysteroscope rigid • Tourniquet for blocks • Irrigation for laparoscopy • Ligasure • Some ortho equipment: o 3 M mini driver drill o Synthes hand modular system o Accutrak microsystem screws + plate o Synthes small fragment set o Steimans pin, K-wire o Rongeur - bone cutter - curettes o Cheisel + osteotomes - elevators o Pliers & wire cutter
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